tag:blogger.com,1999:blog-3117406414547601885.post6812146650830090645..comments2017-10-05T23:50:12.338-05:00Comments on HOSPICE DOCTOR: El MomentoHOSPICE DOCTORhttp://www.blogger.com/profile/17759756170374514803noreply@blogger.comBlogger14125tag:blogger.com,1999:blog-3117406414547601885.post-40634133807625495712015-06-16T01:54:57.117-05:002015-06-16T01:54:57.117-05:00You have such a golden heart for your patients. Ke...You have such a golden heart for your patients. Keep it up.Newton@ <a href="http://ku.ac.ke" rel="nofollow">Kenyatta University School of Medicine</a>newton jumahttps://www.blogger.com/profile/00794226816180419452noreply@blogger.comtag:blogger.com,1999:blog-3117406414547601885.post-37332433503451195232015-03-24T13:40:28.451-05:002015-03-24T13:40:28.451-05:00Thank you for your post. You couldn&#39;t be more ...Thank you for your post. You couldn&#39;t be more correct about the gap between health care professionals and their patients. It&#39;s doctors like you who make the difference in reaching out to people. Sometimes they just need to know that you&#39;re human too. <a href="http://cshospice.org/?about_us.html" rel="nofollow"> http://cshospice.org/?about_us.html</a>Jennifer Davieshttps://www.blogger.com/profile/13762238065845798006noreply@blogger.comtag:blogger.com,1999:blog-3117406414547601885.post-4833031631378270702014-10-23T12:30:47.748-05:002014-10-23T12:30:47.748-05:00wow i can only imagine how tough it would be to di...wow i can only imagine how tough it would be to discuss with someone these topics. It seems though that you are a really good people person and have the ability to ease the tension of those around you. We need more people like this in the health services industry.<br /><br /><a href="http://cshospice.org/?about_us/what-is-hospice-care/where-is-hospice-care-provided.html" rel="nofollow">.<br /><br />http://cshospice.org/?about_us/what-is-hospice-care/where-is-hospice-care-provided.html</a><br /><br />BonobosMarcosnoreply@blogger.comtag:blogger.com,1999:blog-3117406414547601885.post-28309412587053333142014-07-14T08:13:04.136-05:002014-07-14T08:13:04.136-05:00We miss you!We miss you!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3117406414547601885.post-85762879253880307222014-03-30T19:57:49.335-05:002014-03-30T19:57:49.335-05:00This gets a little complicated. As I understand th...This gets a little complicated. As I understand the law, a hospice may not require the patient to be DNR as a condition of enrollment. If, however, the hospice runs a freestanding inpatient facility -- a hospice house -- the hospice is not required to have a crash cart or train its staff in cardiac life support. Naturally the hospice has to inform the patient of that. Functionally, then, the patient would become DNR when admitted to the inpatient level of care. While an inpatient, the patient theoretically would have the right to call 911 and be transported from the hospice house to a hospital (this actually happened a couple of times when I was in training). Calling 911, either from home or a hospice house, is taken by most hospices to mean that the patient no longer desires hospice care. So hospices usually pursue what&#39;s called a revocation -- a statement by the patient that he or she is dropping out of hospice and wants to return to regular Medicare or other insurance.<br /><br />I would argue that a patient who otherwise wants hospice but who still wants to be &quot;full code&quot; needs to think more about his or her true goals. HOSPICE DOCTORhttps://www.blogger.com/profile/17759756170374514803noreply@blogger.comtag:blogger.com,1999:blog-3117406414547601885.post-30178847154068012982014-03-24T18:19:03.950-05:002014-03-24T18:19:03.950-05:00I have a question. I am an RN pursuing my BSN and ...I have a question. I am an RN pursuing my BSN and people are talking about patients in Hospice not being DNR. I have worked hospice in the past and the patient&#39;s did have to be &#39;no codes&quot;, can you clear this up for me? Thank you &amp; also thank you for what you do.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3117406414547601885.post-3646339437958707222014-02-26T23:04:11.446-06:002014-02-26T23:04:11.446-06:00I have also used my very bad Spanish to attempt to...I have also used my very bad Spanish to attempt to break down social barriers. I am an engineering professor at a university and I have taken students to work in rural villages in Central America. Being &quot;gringo&quot;, being educated, being an engineer, and being a professor, all put distance between me and the folks with which we are trying to work. It helped me to bring a student who was fluent in both Spanish and English who could translate my &quot;Spanish&quot; into something they could understand sometimes! At any rate, I found that if i could get them to laugh at me (in a good way) that it helped us become friends. <br /><br />I also recently wrote a blog post about my wife&#39;s experience with her mother in hospice care, in case you are interested: That was really beautiful. Thanks for sharing the perspective from the caregiver&#39;s side. It&#39;s not something I know much about. My wife was very much blessed by her mother&#39;s hospice care, from the patient side, of course. I wrote about it if you&#39;re interested. That was really beautiful. Thanks for sharing the perspective from the caregiver&#39;s side. It&#39;s not something I know much about. My wife was very much blessed by her mother&#39;s hospice care, from the patient side, of course. I wrote about it if you&#39;re interested. http://lifeobservationsfromorangehouse.blogspot.com/2014/02/in-1969-baby-girl-and-her-family-took.htmlOrangehousehttps://www.blogger.com/profile/13150708788984347924noreply@blogger.comtag:blogger.com,1999:blog-3117406414547601885.post-91396420084637074312014-02-23T21:58:52.244-06:002014-02-23T21:58:52.244-06:00Another please.Another please.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3117406414547601885.post-74244697340836782122014-01-19T15:16:17.912-06:002014-01-19T15:16:17.912-06:00I appreciate your kind words. Some of the patients...I appreciate your kind words. Some of the patients I&#39;ve written about were enrolled in hospice (best thought of as a subset of palliative care), but since I now work mostly in the hospital setting, my more recent posts generally are not about hospice patients per se. I certainly believe that, regardless of the payment mechanism, working with the seriously ill and the dying provides many opportunities for heartfelt interactions. It&#39;s the patient, the family, and the situation that matter -- not whether one has accessed the hospice benefit in Medicare or other insurance.HOSPICE DOCTORhttps://www.blogger.com/profile/17759756170374514803noreply@blogger.comtag:blogger.com,1999:blog-3117406414547601885.post-72287393744294424192014-01-17T08:23:22.405-06:002014-01-17T08:23:22.405-06:00Thank you so much for this beautiful blog. I&#39;m...Thank you so much for this beautiful blog. I&#39;m a psychiatrist considering palliative care training. Your blog is helpful in getting a sense of what such a career could be like. Could you share some stories from your hospice experience. Do you have the time there to have such heartfelt interactions? Pueblo dochttps://www.blogger.com/profile/05310723813876058149noreply@blogger.comtag:blogger.com,1999:blog-3117406414547601885.post-7297270307093019972014-01-04T20:11:10.909-06:002014-01-04T20:11:10.909-06:00You&#39;re very kind.You&#39;re very kind.HOSPICE DOCTORhttps://www.blogger.com/profile/17759756170374514803noreply@blogger.comtag:blogger.com,1999:blog-3117406414547601885.post-55398803956056881972014-01-04T20:10:32.105-06:002014-01-04T20:10:32.105-06:00I thank you for your kind comment.I thank you for your kind comment.HOSPICE DOCTORhttps://www.blogger.com/profile/17759756170374514803noreply@blogger.comtag:blogger.com,1999:blog-3117406414547601885.post-18516693147319653972014-01-03T22:04:45.835-06:002014-01-03T22:04:45.835-06:00Wonderfully said. As always. Wonderfully said. As always. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3117406414547601885.post-23642666220036444772014-01-03T05:13:25.693-06:002014-01-03T05:13:25.693-06:00You&#39;ve made me cry yet again.
Off I go to see ...You&#39;ve made me cry yet again.<br />Off I go to see patients in our palliative care clinic, and then admit someone to hospice.<br />Thanks for sharing your stories.Isaac Bromberghttps://www.blogger.com/profile/00293885593764346879noreply@blogger.com